Organization Active NPI

All Florida Podiatry PA

  • Podiatrist
  • St Petersburg, FL
National Provider Identifier
1003032509
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO 2815 Issued in FL
Legal business name
ALL FLORIDA PODIATRY PA
Practice address
5760 10TH Ave N
St Petersburg, FL 33710-6432
Phone
(727) 384-1111
Fax
(727) 384-1112
NPI assigned
Apr 17, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marc G. Colaluce, DPMNPI 1174734735
Title
Owner Podiatrist
Phone
(727) 384-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO 2815 FL Primary

Addresses

Primary practice location

5760 10TH Ave N
St Petersburg, FL 33710-6432

Mailing address

PO Box 13165
St Petersburg, FL 33733-3165
Phone (727) 384-1111

Other identifiers 8

IdentifierTypeStateIssuer
649524OtherFLTUFTS
111877OtherFLAMERIGROUP
2700633OtherFLUNITED HEALTHCARE
65644OtherFLBLUE CROSS BLUE SHIELD
163508OtherFLSTAYWELL
21212024000OtherFLBEECHSTREET
11010101OtherFLCITRUS CAID
1734395OtherFLFIRST HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000844 FL Part B Supplier - Clinic/Group Practice 3072504679 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Petersburg, FL

National Provider Directory

National Provider Directory
Tax ID family
All Florida Podiatry PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

414 S 11th St
Lake Wales, FL 33853
Phone (863) 676-3481

5760 10th Ave N
St Petersburg, FL 33710
Phone (727) 384-1111

210 72nd Ave N
St Petersburg, FL 33702
Phone (727) 527-2257

5353 31st St N
St Petersburg, FL 33714
Phone (727) 528-0291

1201A 102nd Ave N
St Petersburg, FL 33716
Phone (727) 577-6655

6775 40th Ave N
St Petersburg, FL 33709
Phone (727) 308-5243

334 6th Ave N
St Petersburg, FL 33701
Phone (727) 822-3592

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003032509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13165",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337333165",
            "telephone_number": "727-384-1111",
            "fax_number": "727-384-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5760 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106432",
            "telephone_number": "727-384-1111",
            "fax_number": "727-384-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL FLORIDA PODIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COLALUCE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER PODIATRIST",
        "authorized_official_telephone_number": "727-384-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO 2815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "649524",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "111877",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2700633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65644",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAYWELL",
            "identifier": "163508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21212024000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS CAID",
            "identifier": "11010101",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1734395",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.